Autonomic testing: which value for each cardiovascular test? An observational study
| Autor: | G. Bax, Eugenio Ragazzi, F. Bellavere, Nino Cristiano Chilelli, Annunziata Lapolla |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Cardiovascular tests Diabetic neuropathy Endocrinology Diabetes and Metabolism Diagnostic Techniques Cardiovascular 030204 cardiovascular system & hematology Cardiovascular Cardiovascular System Hypotension Orthostatic Autonomic neuropathy 0302 clinical medicine Endocrinology Diabetic Neuropathies Medicine Medical diagnosis General Medicine Middle Aged Test (assessment) Diabetes and Metabolism Cardiovascular Diseases Cardiology Female medicine.symptom Hypotension Endocrine medicine.medical_specialty Valsalva Maneuver Orthostatic Diaphragmatic breathing 030209 endocrinology & metabolism Autonomic Nervous System Sensitivity and Specificity Diagnostic Techniques Endocrine 03 medical and health sciences Predictive Value of Tests Internal medicine Diabetes mellitus Internal Medicine Humans Postural hypotension Aged Autonomic Nervous System Diseases Diabetic Angiopathies Reproducibility of Results business.industry Dysautonomia medicine.disease Diagnostic Techniques Observational study Autonomic testing business |
| Popis: | Cardiovascular autonomic testing is time consuming when adopting the entire Ewing battery of tests, hence, clinicians usually adopt an empirically reduced number of tests which may give controversial results. Our purpose was to examine the reliability of the cardiovascular tests most commonly used in autonomic diagnoses. We tested 334 subjects, from an original group of 3745, who had shown an altered deep breathing test to both Lying to standing and Valsalva manoeuvre, assuming a value of postural hypotension of more than 15 mmHg as a sign of almost true dysautonomia. VM showed the highest sensitivity (85%) and, when coupled to LS, highest specificity (83%). VM could be useful when screening for possible or early autonomic neuropathy, VM + LS is useful as a diagnostic tool for probable or advanced autonomic neuropathy, and VM + LS + PH is useful for certain diagnosis of definite or late stage autonomic neuropathy. |
| Databáze: | OpenAIRE |
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